Introducing a unit-based clinical pharmacist: A pilot study
Canadian Pharmacists Conference ePoster Library. Arora V. Jun 25, 2016; 132122
Disclosure(s): I work for Ontario Shores Centre for Mental Health Sciences in Whitby ON where this study was conducted. I also work for the Leslie Dan Faculty of Pharmacy, University of Toronto.
Dr. Vinita Arora
Dr. Vinita Arora
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Abstract
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OBJECTIVES: A pharmacist was stationed on a forensic mental health unit to more fully participate in the interprofessional team. Since clinical pharmacy services were previously centralized, we evaluated the impact of this change on staff and patients of a forensic wing.,METHODS: We administered anonymous surveys at three time periods, post1, post2, and post3, at 1, 5, and 12 months, respectively (72 beds; nstaff 25, 27, 28; npatients 21, 21, 18) to examine themes of accessibility, education, and medication therapy management (MTM). Non-parametric chi2 analyses were used to examine differences in overall satisfaction (Strongly Agree and Agree responses combined) scores over the time periods. We also compared percentages of satisfaction in these themes and qualitative changes over time.,RESULTS: The average change in staff satisfaction from post1 to post 3 was 8% for the Accessibility theme, 9.5% for the Education theme (2 to 17%) and 11% for the MTM theme (1 to 30%), with the increase in MTM satisfaction approaching significance (2=5.911, p=0.052). The average change in patient satisfaction from post1 to post3 for questions in the Education theme was -12.5% (-5 to -24%) and -28% for questions in the Accessibility theme, however the decreases were not statistically significant. Qualitatively, there were positive changes stated by staff in all themes, most notably, accessibility; while patients expressed desire for increased services in all themes.,CONCLUSIONS: Being situated on a forensic mental health unit enhances involvement of the clinical pharmacist in the interprofessional team. Accessibility may be a precursor to provision of increased MTM and education. Limitations surrounding patient satisfaction need further consideration.
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